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psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
February 19, 2020 - Discuss a strategy for communicating the tailored fall prevention plan to all care team members, including … for individual patients, and (iii) implement the tailored plan along with universal fall precautions … an overall safety plan to protect her from injury. … Like the fall prevention plan, the patient safety plan should be based on a thorough assessment of patient … It is unclear whether there was a fall prevention plan in place.
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psnet.ahrq.gov/node/41254/psn-pdf
April 11, 2012 - The Daily Plan: including patients for safety's sake. … The Daily Plan®: Including patients for safety's sake. … to engage hospitalized patients in safety by creating a daily plan that
their bedside nurse reviewed … in the care plan. … https://psnet.ahrq.gov/issue/daily-plan-including-patients-safetys-sake
https://psnet.ahrq.gov/primer
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psnet.ahrq.gov/node/865532/psn-pdf
April 10, 2024 - Let us to the TWISST; Plan, Simulate, Study and Act.
April 10, 2024
Colman N, Hebbar KB. … Let us to the TWISST; Plan, Simulate, Study and Act. … https://psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
In situ simulation can identify … https://psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/45818/psn-pdf
September 29, 2017 - National Action Plan for Adverse Drug Event Prevention:
recommendations for safer outpatient opioid … National Action Plan for Adverse Drug Event Prevention:
Recommendations for Safer Outpatient Opioid … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention-recommendations-safer … This commentary reviews a national plan to curb adverse drug events and applies those
recommendations … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention-recommendations-safer-outpatient-opioid
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psnet.ahrq.gov/node/44663/psn-pdf
September 27, 2016 - Impact of regionalized care on concordance of plan and
preventable adverse events on general medicine … Impact of regionalized care on concordance of plan and
preventable adverse events on general medicine … https://psnet.ahrq.gov/issue/impact-regionalized-care-concordance-plan-and-preventable-adverse-events … Investigators found that the rate of adverse events and the extent
of physician–nurse agreement about the care plan … https://psnet.ahrq.gov/issue/patterns-nurse-physician-communication-and-agreement-plan-care
https://
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psnet.ahrq.gov/issue/performance-improvement-plan-increase-nurse-adherence-use-medication-safety-software
March 13, 2024 - Commentary
A performance improvement plan to increase nurse adherence to use of medication … A Performance Improvement Plan to Increase Nurse Adherence to Use of Medication Safety Software. … A Performance Improvement Plan to Increase Nurse Adherence to Use of Medication Safety Software.
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psnet.ahrq.gov/issue/plan-quality-improve-patient-safety-point-care
February 01, 2017 - Review
Plan for quality to improve patient safety at the point of care. … Plan for Quality to Improve Patient Safety at the Point of Care. … Plan for Quality to Improve Patient Safety at the Point of Care.
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psnet.ahrq.gov/node/39584/psn-pdf
June 11, 2010 - Patterns of nurse–physician communication and
agreement on the plan of care. … Patterns of nurse-physician communication and agreement
on the plan of care. … https://psnet.ahrq.gov/issue/patterns-nurse-physician-communication-and-agreement-plan-care
Nurses and … did not communicate with each other regularly, resulting in
frequent misconceptions regarding the plan … /issue/hospitalized-patients-understanding-their-plan-care
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psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
October 12, 2018 - EMERGING INNOVATIONS
Let us to the TWISST; Plan, Simulate, Study and Act. … Let us to the TWISST; Plan, Simulate, Study and Act. … Let us to the TWISST; Plan, Simulate, Study and Act.
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psnet.ahrq.gov/node/35747/psn-pdf
February 03, 2011 - Use of board certification and recertification of
pediatricians in health plan credentialing policies … Use of board certification and recertification of pediatricians in health
plan credentialing policies … https://psnet.ahrq.gov/issue/use-board-certification-and-recertification-pediatricians-health-plan- … require board certification for general pediatricians
at any time during their association with the plan … https://psnet.ahrq.gov/issue/use-board-certification-and-recertification-pediatricians-health-plan-credentialing-policies
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psnet.ahrq.gov/node/38853/psn-pdf
January 04, 2010 - Introduction of discharge plan to reduce adverse events
within 72 hours of discharge from the ICU. … Introduction of discharge plan to reduce adverse events within 72
hours of discharge from the ICU. … https://psnet.ahrq.gov/issue/introduction-discharge-plan-reduce-adverse-events-within-72-hours-discharge … -
icu
A structured discharge plan was associated with a reduction in preventable adverse events (but … https://psnet.ahrq.gov/issue/introduction-discharge-plan-reduce-adverse-events-within-72-hours-discharge-icu
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psnet.ahrq.gov/node/44640/psn-pdf
February 20, 2016 - The problem with Plan-Do-Study-Act cycles.
February 20, 2016
Reed JE, Card AJ. … The problem with Plan-Do-Study-Act cycles. BMJ Qual Saf. 2016;25(3):147-52. … https://psnet.ahrq.gov/issue/problem-plan-do-study-act-cycles
Rapid-cycle improvement methods have been … This commentary explores how insufficient implementation of
plan-do-study-act cycles can hinder its … https://psnet.ahrq.gov/issue/problem-plan-do-study-act-cycles
https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance
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psnet.ahrq.gov/node/44378/psn-pdf
August 05, 2015 - Advancing medication safety: establishing a National
Action Plan for Adverse Drug Event Prevention. … Advancing Medication Safety: Establishing a National Action Plan for
Adverse Drug Event Prevention. … https://psnet.ahrq.gov/issue/advancing-medication-safety-establishing-national-action-plan-adverse-drug … https://psnet.ahrq.gov/issue/advancing-medication-safety-establishing-national-action-plan-adverse-drug-event-prevention … https://psnet.ahrq.gov/issue/advancing-medication-safety-establishing-national-action-plan-adverse-drug-event-prevention
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psnet.ahrq.gov/node/42658/psn-pdf
March 17, 2014 - Systematic review of the application of the plan-do-study-
act method to improve quality in healthcare … Systematic review of the application of the plan-do-study-act
method to improve quality in healthcare … https://psnet.ahrq.gov/issue/systematic-review-application-plan-do-study-act-method-improve-quality- … healthcare
This systematic review of the plan-do-study-act method of quality improvement showed that … https://psnet.ahrq.gov/issue/systematic-review-application-plan-do-study-act-method-improve-quality-healthcare
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psnet.ahrq.gov/node/45812/psn-pdf
June 22, 2017 - A primer on PDSA: executing plan–do–study–act cycles
in practice, not just in name. … A primer on PDSA: executing plan-do-study-act cycles in practice, not just in name. … https://psnet.ahrq.gov/issue/primer-pdsa-executing-plan-do-study-act-cycles-practice-not-just-name
Although … plan–do–study–act (PDSA) cycles were promoted as an in-depth rapid-cycle improvement
mechanism, this … https://psnet.ahrq.gov/issue/primer-pdsa-executing-plan-do-study-act-cycles-practice-not-just-name
https
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psnet.ahrq.gov/node/866072/psn-pdf
June 05, 2024 - This report uses the
seven objectives of the Global Patient Safety Action Plan 2021–2030 to examine … the impact of unsafe care
worldwide and the status of plan objective implementation in the six regions … development-and-evaluation-patient-safety-interventions-perspectives-operational-safety
https://psnet.ahrq.gov/issue/request-comment-draft-global-patient-safety-action-plan
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psnet.ahrq.gov/node/867381/psn-pdf
December 18, 2024 - medication safety for older adults upon
hospital discharge: guiding principles for a medication
discharge plan … medication safety for older adults upon hospital discharge:
guiding principles for a medication discharge plan … article describes an
iterative, consensus-based process to create a standardized medication discharge plan
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psnet.ahrq.gov/node/41885/psn-pdf
April 17, 2013 - Deviation from a preoperative surgical and anaesthetic
care plan is associated with increased risk of … Deviation from a preoperative surgical and anaesthetic care plan is
associated with increased risk of … https://psnet.ahrq.gov/issue/deviation-preoperative-surgical-and-anaesthetic-care-plan-associated-
increased-risk-adverse … Deviations from the previously agreed upon perioperative care plan were associated with an increased … https://psnet.ahrq.gov/issue/deviation-preoperative-surgical-and-anaesthetic-care-plan-associated-increased-risk-adverse
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psnet.ahrq.gov/node/60189/psn-pdf
April 01, 2020 - Eliminating Medication Overload: A National Action Plan. … https://psnet.ahrq.gov/issue/eliminating-medication-overload-national-action-plan
Polypharmacy and medication … https://psnet.ahrq.gov/issue/eliminating-medication-overload-national-action-plan
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/866170/psn-pdf
June 19, 2024 - It organizes its approach on the elements of the WHO Global
Patient Safety Action Plan to position the … world-federation-chiropractic-global-patient-safety-task-force-call-action
https://psnet.ahrq.gov/issue/request-comment-draft-global-patient-safety-action-plan … -2021-2030
https://psnet.ahrq.gov/issue/request-comment-draft-global-patient-safety-action-plan-2021-